GREG MICK D.O. PLLC NPI 1215320056

NPI Information

NPI: 1215320056
Provider Name: GREG MICK D.O., PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2375 PROFESSIONAL HEIGHTS DR
SUITE 240
LEXINGTON, KY
ZIP 40503
Phone: (859) 523-8996
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GREG MICK D.O., PLLC is a general practice in Lexington, KY. GREG MICK D.O., PLLC NPI is 1215320056. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2375 PROFESSIONAL HEIGHTS DR
SUITE 240
LEXINGTON, KY
ZIP 40503-040
Phone: (859) 523-8996
Fax: (859) 523-9370

The provider's authorized official is John Daniels .
The authorized official title is Manager and has the following contact phone number (859) 523-8996.

The enumeration date for this NPI number is 3/17/2015 and was last updated on 3/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		02503	KENTUCKY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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